CARLA E FADRIQUELA

BEAVERTON, OR
NPI1003373101
Former NameCARLA E MCGUIRE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OR  L7861)
Additional Taxonomies1041C0700X Social Worker Clinical
(Licence: HI  LCSW-4328)
Enumeration Date2019-02-25
Last Update Date2019-02-25
Business Address
CARLA E FADRIQUELA LCSW
2980 SW 123RD AVE
BEAVERTON, OR 97005-1325
Phone number: 808-281-4616
Mailing Address
CARLA E FADRIQUELA LCSW
2980 SW 123RD AVE
BEAVERTON, OR 97005-1325
Phone number: 808-281-4616